Undergraduate, graduate and professional students who are enrolled in UC SHIP have the option to enroll eligible dependents in a voluntary insurance plan. The plan provides Anthem Blue Cross PPO medical insurance with the option to purchase Delta Dental and Vision benefits.

Enrollment in the dependent plan is managed by USI Insurance Services (formerly Wells Fargo Insurance Services) on behalf of Anthem Blue Cross and the cost of insurance (premiums) for dependents is paid directly to USI. Student Health Services DOES NOT manage the enrollment or collect payments for the dependent plan.

Click here for the summaries of medical benefits and pharmacy benefits for dependents. For additional information, please contact USI at 800-853-5899.

Dependent Enrollment Forms and Premium Fees

Coverage
for eligible dependents will not be effective prior to that of the
insured student, or extend beyond that of the insured student. Dependent
enrollment/re-enrollment in the dependent plan is not automatic.
Eligible dependents must be re-enrolled each subsequent quarter/semester
in order to continue coverage under the dependent plan.

Click
on the links to the right for the Dependent Enrollment Forms. These
contain the enrollment deadlines, periods of coverage, the costs for
each dependent, and other information.

Are you expecting? Click here for information about Anthem's Future Mom Program through UC SHIP.

​UCLA UC SHIP Dependents 2018-2019 Premium Fees

​Partner of Student

​Per Semester

Per Quarter

Graduate​ (medical, dental, vision)

​$3,326.84

$2,217.89

​Undergraduate (medical, dental, vision)

​N/A

$1,894.70

​

​

​

​Graduate (medical only)

​$3,193.00

​$2,128.67

​Undergraduate (medical only)

​N/A

$1,827.33

​

​

​

​Child(ren) of Student

​

​

​Graduate​ (medical, dental, vision)

​$2,893.37

$1,928.91

​Undergraduate (medical, dental,vision)

N/A

​$1,645.92

​

​

​

​Graduate (medical only)

​$2,761.00

​$1,840.67

​Undergraduate (medical only)

N/A

​$1,580.33

​

​

​

​Partner +Child(ren) of Student (Family)

​

​

​Graduate (medical, dental, vision)

​$6,032.73

​$4,021.82

​Undergraduate (medica, dental, vision)

​N/A

​$3,427.39

​

​

​

​Family Premium

​

​

​Graduate (medical only)

​$5,787.50

​$3,858.33

​Undergraduate (medical only)

N/A

​$3,309.67

Dependent Documentation

Dependents are required to provide proof of dependent status; the following documents will be accepted:

For spouse, a marriage certificate

For same sex domestic partner, a declaration of independent partnership issued by the state of California

For a natural child under the age of 26, a birth certificate showing the student is the parent of the child.

Alternate Insurance Resources

For additional options for dependent coverage, pleaseclick here to see our list of insurance of providers. ​